Page 83 - 2022 Ranger Medic Handbook
P. 83

NATO MEDEVAC Request
                                 MEDEVAC REQUEST 9-LINE
         LINE 1: Location of Unit      HLZ GRID (MGRS):
         LINE 2: CALLSIGN AND FREQUENCY AT THE PZ  CALLSIGN:
                                       FREQUENCY:
         LINE 3: NUMBER AND PRECEDENCE OF   A: Number of Urgent Casualties
         CASUALTIES                    B: Number of Urgent-Surgical Casualties  SECTION 2
                                       C: Number of Priority Casualties
                                       D: Number of Routine Casualties
                                       E: Number of Convenience Casualties
         LINE 4: SPECIAL EQUIPMENT REQUIRED  A: None
                                       B: Hoist
                                       C: Extraction
                                       D: Ventilator
                                       E: Other (specify)
         LINE 5: NUMBER OF CASUALTIES BY TYPE  L: Number of Litter Casualties
                                       A: Number of Ambulatory Casualties
                                       E: Number of Escorts
         LINE 6: SECURITY AT PZ        N: No enemy
                                       P: Possible enemy
                                       E: Enemy in area
                                       X: Armed escort required
         LINE 7: PZ MARKING            A: Panels
                                       B: Pyrotechnics
                                       C: Smoke (designate color)
                                       D: None
                                       E: Other (specify)
         LINE 8: CASUALTIES BY NATIONALITY/STATUS  A: US/Coalition Military
                                       B: US/Coalition Civilian
                                       C: Non-Coalition
                                       D: Non-Coalition Civilian
                                       E: Opposing Forces/Detainee
                                       F: Child
         LINE 9: DESCRIPTION OF TERRAIN    N: Nuclear
         (In peacetime, description of terrain)  B: Biological
                                       C: Chemical
                                       In peacetime: Brief description of significant
                                       obstacles on approach/departure headings and type of
                                       predominant terrain for the HLZ
        NOTE: Lines 1–5 required to initiate MEDEVAC spin up
                     MIST REPORT                      SIT REPORT
                                           (used when communicating with PSG/1SG
         M – MECHANISM OF   Mechanism of Injury and time
         INJURY AND TIME OF   of injury (if known)  or other key personnel on the ground)
         INJURY (IF KNOWN)
                                            S  STABLE/UNSTABLE
         I – INJURY OR ILLNESS  Injury OR Illness
                                            I  NOTABLE INJURIES
         S – SYMPTOMS AND   A – Airway status
         VITAL SIGNS     B – Breathing rate   T  TREATMENTS RENDERED
                         C – Pulse rate        (Emphasis on medications, fluids, or
                         D –  Conscious/Unconscious   procedures that cannot be seen by
                         E – Other signs       subsequent Medics/providers)
         T – TREATMENT GIVEN  Such as Tourniquet/Time
                         Applied Drugs administered
                                            2022 RANGER MEDIC HANDBOOK  69
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